Thesis (M.A.)--York University, 2005. Graduate Programme in Social Anthropology. / Typescript. Includes bibliographical references (leaves 222-234). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url%5Fver=Z39.88-2004&res%5Fdat=xri:pqdiss &rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:MR11907

Background: Street-involved youth are known to be at a greatly increased risk of HIV and sexually transmitted infections (STIs); however, the role that environmental and structural factors play in driving disease transmission risk among this population has not been thoroughly examined. Methods: The At Risk Youth Study (ARYS) is a prospective cohort of homeless and street-involved youth between the ages of 14 and 26. From September 2005 to October 2006, participants completed a baseline questionnaire which elicited information regarding sexual activity, injection and non-injection drug use, addiction treatment experience, encounters with police and security guards, and health service utilization. Environmental and structural correlates of number of recent sex partners were identified using quasi-Poisson regression. Factors independently associated with consistent condom use were also examined using logistic regression. Results: Among 529 participants, 415 (78.4%) were sexually active during the past six months, of whom 253 (61.0%) reported multiple sex partners and 288 (69.6%) reported inconsistent condom use during this time period. In multivariate logistic regression, homelessness and self-reported structural barriers to accessing health services were inversely associated with consistent condom use. In multivariate analysis, living in a shelter, hostel, or single room occupancy hotel was positively associated with greater numbers of recent sex partners. Structural factors that were associated with number of sex partners included having a warrant or area restriction that affects access to health services, and for males, being accosted by the police. Conclusions: Unstable housing, homelessness, and structural factors related to the criminalization and displacement of street-involved youth were associated with an increased risk of HIV and STI transmission, even after extensive adjustment for sociodemographic and individual level characteristics. These findings suggest that both environmental and structural factors influence the spread of HIV and STIs, and point to the need for environmental-structural interventions to reduce the burden of these diseases among this population. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate

This study explored the experiences of street-involved youth who have received mental health services for symptoms of methamphetamine-induced psychosis. Specifically, the study investigated what factors were perceived by participants to promote and hinder access to mental health services. The researcher interviewed nine street youth at Covenant House, a Vancouver agency serving street-involved youth. Interview data and the researcher's field notes were coded and analyzed within a grounded theory paradigm. Youth discussed formal and informal sources of help and routes to both. Two distinct perspectives to treatment were identified: an addictions perspective and a concurrent disorders perspective. Respondents outlined the typical pathway into methamphetamine use and described barriers and supports for accessing services while undergoing drug-induced psychosis. Significant factors that encouraged access to services were positive relationships with helpers, strong peer supports, and the use of involuntary services when necessary. Identified barriers included fear of being stigmatized, lack of problem awareness, and systemic barriers. The current research proposed a model of access to mental health services that positions outreach and frontline workers as key figures to mediating street youth's access to appropriate services. / Arts, Faculty of / Social Work, School of / Graduate

The purpose of this thesis is to examine the housing environment faced by street youth in the City of Vancouver. It seeks to understand the housing needs of street youth, to identify the barriers encountered in accessing housing, to identify and evaluate their housing options, and to examine the provincial and municipal government roles in providing housing for street youth. This thesis defines a street youth as an individual between the ages of 12 and 18 who has either chosen to leave or been thrown out of their family home for a minimum of two days, is involved in street related activities, and sleeps in inappropriate accommodations or has no shelter at all. The terms street youth and homeless youth are used interchangeably because the qualities which are absent from an individual’s living environment - privacy, security, stability and access to support services - are also absent from the various living situations in which street youth find themselves. The methodology undertaken to complete this thesis is a literature review and a case study of Vancouver’s street youth. The literature review provides background information on the general subject of homelessness, and specifically, the reasons why youth choose to live a life on the street and the lifestyle they lead once on the street. The empirical component of the research consists of interviews with service providers and street youth. The interview results clearly reveal that two interrelated problem areas exist in the broad issue of street youth and housing. These areas are first, the state care system, both its form and manner of service provision, and second, accessibility to market housing - social, economic and political factors which affect a youth’s ability to secure housing. An issue common to both problem areas, and perpetuating the problems in each, is the lack of value and respect society gives to youth. A ‘continuum of housing’ model is proposed which takes into account the family backgrounds conmion to many street youth, the types of lifestyle they lead while on the street, and the problems associated with state-provided and market housing. In addition, recommendations are provided which centre on advocacy and service-coordinating bodies, attitude changes, additional housing facilities, landlord-tenant relationships, government assistance eligibility criteria, and funding. / Applied Science, Faculty of / Community and Regional Planning (SCARP), School of / Graduate

Thesis (M.A.) - Carleton University, 2007. / Includes bibliographical references (p. 149-158). Also available in electronic format on the Internet.

No description available.

The transmission and prevalence of Hepatitis C Virus (HCV) among those who use injection drugs is a major public health issue. Injection drug use has been identified as the main cause of transmission for HCV in Canada. Street youth are at risk for acquiring HCV due to injection drug use that is often a consequence of living in a street environment. Presently, research on prevalence trends, characteristics, and associated behaviors for injection drug use and HCV in street youth, is limited. <p>The purposes of this study were to determine prevalence of injection drug use and HCV in Saskatoon street youth, to identify demographic or other factors that may contribute to street youth using injection drugs, and to identify risk factors and other characteristics of street youth associated with HCV. This study utilized data from Phase III of the Enhanced STD Surveillance in Canadian Street Youth Study by Health Canada for those participants recruited from Saskatoon, Canada. Between February and July 2001, 186 Saskatoon street youth participants between the ages 14 and 24 years completed nurse-administered questionnaires and of these, 156 provided blood specimens. Analyses were conducted to compare population characteristics between street youth who have used injection drugs and those who had not. Similarly, population characteristics were analyzed among those street youth who were antibody-HCV positive and those that were antibody HCV negative.<p>In this study 32.3% of 186 participants had used injection drugs. Significant associations with injection drug use were found for older age (p = 0.01), having sexual partners that use injection drugs (p = 0.01), history of incarceration (p = 0.01), and history of living on the street (p = 0.02). Significant interactions were found for sex trade work by gender (p < 0.01) and by age (p = 0.03), and for living on the street by age (p = 0.02). A HCV prevalence rate of 9.3% of 156 participants was determined for Saskatoon street youth. Use of Ritalin by injection (p = 0.04) and history of living on the street (p = 0.05) were found to be significant risk factors associated with HCV. The interaction of living on the street by gender was also significantly associated with HCV (p = 0.05). <p>The relationship identified between HCV and injection drug use in Saskatoon street youth was a history of living on the street. This link between could serve as a valuable marker for use of injection drugs and developing HCV infection in street youth. Nurses are encouraged to seek out street youth social networks to provide health care and messages of health promotion and disease prevention. Strategies that are culturally, socially, and developmentally appropriate are needed to keep these youth off the streets in the first place.

The transmission and prevalence of Hepatitis C Virus (HCV) among those who use injection drugs is a major public health issue. Injection drug use has been identified as the main cause of transmission for HCV in Canada. Street youth are at risk for acquiring HCV due to injection drug use that is often a consequence of living in a street environment. Presently, research on prevalence trends, characteristics, and associated behaviors for injection drug use and HCV in street youth, is limited. <p>The purposes of this study were to determine prevalence of injection drug use and HCV in Saskatoon street youth, to identify demographic or other factors that may contribute to street youth using injection drugs, and to identify risk factors and other characteristics of street youth associated with HCV. This study utilized data from Phase III of the Enhanced STD Surveillance in Canadian Street Youth Study by Health Canada for those participants recruited from Saskatoon, Canada. Between February and July 2001, 186 Saskatoon street youth participants between the ages 14 and 24 years completed nurse-administered questionnaires and of these, 156 provided blood specimens. Analyses were conducted to compare population characteristics between street youth who have used injection drugs and those who had not. Similarly, population characteristics were analyzed among those street youth who were antibody-HCV positive and those that were antibody HCV negative.<p>In this study 32.3% of 186 participants had used injection drugs. Significant associations with injection drug use were found for older age (p = 0.01), having sexual partners that use injection drugs (p = 0.01), history of incarceration (p = 0.01), and history of living on the street (p = 0.02). Significant interactions were found for sex trade work by gender (p < 0.01) and by age (p = 0.03), and for living on the street by age (p = 0.02). A HCV prevalence rate of 9.3% of 156 participants was determined for Saskatoon street youth. Use of Ritalin by injection (p = 0.04) and history of living on the street (p = 0.05) were found to be significant risk factors associated with HCV. The interaction of living on the street by gender was also significantly associated with HCV (p = 0.05). <p>The relationship identified between HCV and injection drug use in Saskatoon street youth was a history of living on the street. This link between could serve as a valuable marker for use of injection drugs and developing HCV infection in street youth. Nurses are encouraged to seek out street youth social networks to provide health care and messages of health promotion and disease prevention. Strategies that are culturally, socially, and developmentally appropriate are needed to keep these youth off the streets in the first place.

BACKGROUND: Youth continue to be at high risk for STI and HIV transmission and unplanned pregnancies because of their liberal approach to sexual-health and their susceptibility toward engaging in risky activities. Youth who are street involved face greater risks than their peers because they occasionally participate in behaviours that places them at increased risk; for instance injection drug use, multiples sex partners, low condom use and considerable substance use. However, while street youth are predisposed to engage in many of the situations they do, some street youth are also making decisions to limit risk. OBJECTIVES: To 1) determine the basic level of HIV and STI knowledge of street youth; 2) to understand youth’s knowledge of, access to, and use of sexual-health information; 3) to explore where and from youth would like to get accurate sexual-health information and appropriate care; 4) to determine whether peer education is a useful method of transmitting sexual-health information to youth; 5) to assess the sexual risk level of youth; and 6) to develop an understanding of the proactive sexual-health behaviours and decisions youth have established for themselves. METHODS: Street-involved and homeless youth living in Hamilton, Ontario (n=97) who were between the ages of 14 and 24 were interviewed using a 112 questions interview tool. Topics covered in the interview included demographics, personal safety, health behaviour, accessing sexual-health information, accessing sexual-health services, HIV/AIDS knowledge and services use and peer education. Descriptive, bivariate, and multivariate analyses were conducted using SAS. RESULTS: Youth had high rates of STI and HIV testing and good HIV knowledge when compared to the general youth population. However, the sample also had increased rates of unplanned pregnancies and young women were not well-informed about what gets tested for in pap smears. Some youth are also not accessing sexual-health services at all. CONCLUSIONS: Youth are making attempts to protect themselves, however there are areas for improvement; specifically increased condom-use, knowledge of HIV and pap smears. Youth who were found to have increased risk were youth who were under the age of 19, and youth who had experienced unstable housing before the age of 15. The findings suggest that sexual-health harm reduction needs to start at a younger age and the basics of sexual-health should not be overlooked.

Thesis (D. Min.)--Gordon-Conwell Theological Seminary, Boston, MA, 2003. / Abstract and vita. Includes bibliographical references (leaves 169-172).